Biomedical Engineering and Bioengineering Commons^™

Local Hemodynamic Changes Caused By Main Branch Stent Implantation And Subsequent Side Branch Balloon Angioplasty In A Representative Coronary Bifurcation, Andrew R. Williams, Bon-Kwon Koo, Timothy J. Gundert, Peter J. Fitzgerald, John F. Ladisa Jr.

Biomedical Engineering Faculty Research and Publications

Abnormal blood flow patterns promoting inflammation, cellular proliferation, and thrombosis may be established by local changes in vessel geometry after stent implantation in bifurcation lesions. Our objective was to quantify altered hemodynamics due to main vessel (MV) stenting and subsequent virtual side branch (SB) angioplasty in a coronary bifurcation by using computational fluid dynamics (CFD) analysis. CFD models were generated from representative vascular dimensions and intravascular ultrasound images. Time-averaged wall shear stress (TAWSS), oscillatory shear index (OSI), and fractional flow reserve (FFR) were quantified. None of the luminal surface was exposed to low TAWSS (/cm2) in the nondiseased bifurcation model. …